Dermatology

Question 1

Lesion that is red with unclear margins and dry flaky skin

Answer 1

Eczema

Question 2

What are 3 things that can occur in severe cases of eczema?

Answer 2

1. Fissures
2. Weeping
3. Excoriation

Question 3

Most common skin condition

Answer 3

Atopic dermatitis

Question 4

What is atopic dermatitis associated with?

Answer 4

Other allergic disorders

Question 5

What is atopic dermatitis mediated by?

Answer 5

IgE

Question 6

What is the common pattern of distribution for atopic dermatitis?

Answer 6

Inside the elbow and back of the knee

Question 7

What is a symptom of atopic dermatitis?

Answer 7

Intense itching

Question 8

How would you treat atopic dermatitis?

Answer 8

1. Nonprescription emollients
2. Topical steroids

Question 9

Raw, red, dry skin caused by an irritating substance

Answer 9

Irritant contact dermatitis

Question 10

How would you treat irritant contact dermatitis?

Answer 10

By protecting the skin
1. Gloves
2. Zinc oxide

Question 11

What are 2 other names for irritant contact dermatitis?

Answer 11

1. Diaper rash
2. Dishpan hands

Question 12

What mediates allergic contact dermatitis?

Answer 12

T-cells

Question 13

What should you treat allergic contact dermatitis with?

Answer 13

Topical or oral steroids

Question 14

What should you not use to treat allergic contact dermatitis?

Answer 14

1. Benzocaine
2. Neomycin
3. Topical Diphenhydramine

Question 15

Dry flaky skin

Answer 15

Xerosis

Question 16

Old skin cells in hair follicles forming a scaly, horny plug

Answer 16

Keratosis pilaris

Question 17

Local immune reaction to yeast

Answer 17

Seborrhea

Question 18

Yellow greasy scales over an eczamatous lesion

Answer 18

Seborrheic dermatitis

Question 19

What can be used to treat seborrhea?

Answer 19

1. Shampoos with selenium sulfide
2. Zinc pyrithione

Question 20

Immunologic reaction involving T-cell proliferating cytokine release

Answer 20

Psoriasis

Question 21

Silver/white scales that bleed if removed

Answer 21

Psoriasis

Question 22

How would you treat psoriasis?

Answer 22

Refer to dermatologist

Question 23

What is the criteria for melanoma?

Answer 23

1. Assymetric
2. Border
3. Color (multiple shades)
4. Diameter (more than 1/4 in)
5. Evolving

Question 24

How would you treat a patient with melanoma?

Answer 24

Refer to physician

Question 25

What does cellulitis start as?

Answer 25

Impetigo

Question 26

Swollen, warm to the touch, red in color and painful. Can also have purulent discharge

Answer 26

Cellulitis

Question 27

How can you treat cellulitis?

Answer 27

1. Vancomycin 2. Cephalexin

Question 28

Large furuncle caused by infected or inflamed hair with local expression of cellulitis around the area

Answer 28

Carbuncle

Question 29

How would you treat a carbuncle?

Answer 29

Surgical drainage +/- antibiotic therapy

Question 30

Highly contagious skin infection impacting infants and children

Answer 30

Impetigo

Question 31

How would you treat impetigo?

Answer 31

Mupirocin cream or ointment

Question 32

If impetigo is severe, what would you treat it with?

Answer 32

Systemic antibiotics

Question 33

How would you treat verrucae?

Answer 33

Freeze them off

Question 34

How would you manage HSV1?

Answer 34

With topicals 1. Docosanol 2. Penciclovir

Question 35

How would you treat HSV2?

Answer 35

Oral therapy 1. Acyclovir 2. Valacyclovir

Question 36

Lesions that appear in a linear fashion with vesicular eruptions that are preceded by pain and itching that lasts for days

Answer 36

Herpes zoster

Question 37

How long can herpes zoster last if it’s untreated?

Answer 37

5-8 weeks

Question 38

What do you treat herpes zoster with?

Answer 38

Valacyclovir

Question 39

When will insurance cover lidocaine patches?

Answer 39

If Pt has post-hepatic neuralgia

Question 40

What are the fungal infections treated by? (Tineas)

Answer 40

Topical antifungals + keep it dry 1. Clotrimazole 2. Miconazole

Question 41

Fungal infection that is fiery red, shiny, and appears in moist areas

Answer 41

Candida

Question 42

What should you not assume for drug reactions?

Answer 42

That they occur in 24-48 hrs

Question 43

How long can drug induced skin reactions last after the drug has been stopped?

Answer 43

Up to 2 weeks

Question 44

What are hives mediated by?

Answer 44

IgE

Question 45

How would you treat IgE mediated hives?

Answer 45

Antihistamines or systemic corticosteroids

Question 46

What drug class usually causes urticaria?

Answer 46

Beta-lactams

Question 47

Hives that occur in deeper layers of the skin leading to swelling/edema

Answer 47

Angioneurotic Edema

Question 48

What can occur with angioneurotic edema?

Answer 48

Anaphylaxis

Question 49

What are more severe forms of T-lymphocyte mediated reactions?

Answer 49

1. Stevens-Johnson’s Syndrome 2. Toxic Epidermal Necrosis

Question 50

Drug induced syndrome that has vesicular and bullous lesions of mucous membranes of mouth, eyes, and GI tract

Answer 50

Stevens Johnson Syndrome

Question 51

What drugs can induce SJS? 7

Answer 51

1. Allopurinol 2. Carbamazepine 3. Lamotrigine 4. Phenobarbital 5. Nevirapine 6. Phenytoin 7. Sulfa antibiotics

Question 52

What does Toxic Epidermal Necrosis resemble?

Answer 52

3rd degree burns

Question 53

If TENs is drug induced, then what should you not do?

Answer 53

Not rechallenge the drugs

Question 54

Drugs that commonly cause photoxicity

Answer 54

1. Tetracyclines 2. Sulfonamides

Question 55

Drugs that less commonly cause photoxicity

Answer 55

1. Diuretics 2. Sulfonylureas

Question 56

Vancomycin induced anaphylactiod reaction due to rapid infusion

Answer 56

Vancomycin Flushing syndrome

Question 57

What would you do to treat red man’s syndrome?

Answer 57

Slow down the infusion

Question 58

What organisms can cause impetigo?

Answer 58

Staph and strep